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Hospital visit and insulin
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<blockquote data-quote="AliceChatsworth" data-source="post: 1438505" data-attributes="member: 392771"><p>My husband went into hospital just before he was due to start Empagliflozin. Subsequently diagnosed with a virus that caused hepatitis. At home we had reintroduced a low carb diet but his sugars were still high. I'm guessing some of his high sugar readings would be from virus as well as diabetes? After a couple of days in hospital he started to eat again. Within a day on hospital food his sugars jumped from 11.2 to 24. He was put on insulin, initially for the duration of his stay but then then team insisted he go home with it because they had been high for quite some time before admission. He has come back home from very high carb hospital food to low carb diet and his morning reading dropped from 21 to 13 within 24 hours. I don't know what to expect now as insulin is new to us and his home diet is very different to the hospital diet (which was rice Krispies, lots of rice or potatoes, and sugary puddings; no low carb option on the menu). He can't start Empagliflozin yet until reviewed by GP diabetic team. Assuming a continued low carb diet what likely difference in blood sugars could we see over the weekend? And how often does he have to eat? We've been working on reducing food frequency with a lchf diet but the diabetic team seemed pretty insistent that he eat regularly and have snacks. Because his sleeping pattern is very erratic I'm having to wake him to give insulin, take blood sugar readings and give food to stick with a conventional eating pattern. Is the food thing necessary or can he just have 3 meals when it suits him? He's now down to 12.2 from routinely about 24 in hospital. Will he have been given an insulin dose based on his hospital sugar readings?</p><p>Thanks</p></blockquote><p></p>
[QUOTE="AliceChatsworth, post: 1438505, member: 392771"] My husband went into hospital just before he was due to start Empagliflozin. Subsequently diagnosed with a virus that caused hepatitis. At home we had reintroduced a low carb diet but his sugars were still high. I'm guessing some of his high sugar readings would be from virus as well as diabetes? After a couple of days in hospital he started to eat again. Within a day on hospital food his sugars jumped from 11.2 to 24. He was put on insulin, initially for the duration of his stay but then then team insisted he go home with it because they had been high for quite some time before admission. He has come back home from very high carb hospital food to low carb diet and his morning reading dropped from 21 to 13 within 24 hours. I don't know what to expect now as insulin is new to us and his home diet is very different to the hospital diet (which was rice Krispies, lots of rice or potatoes, and sugary puddings; no low carb option on the menu). He can't start Empagliflozin yet until reviewed by GP diabetic team. Assuming a continued low carb diet what likely difference in blood sugars could we see over the weekend? And how often does he have to eat? We've been working on reducing food frequency with a lchf diet but the diabetic team seemed pretty insistent that he eat regularly and have snacks. Because his sleeping pattern is very erratic I'm having to wake him to give insulin, take blood sugar readings and give food to stick with a conventional eating pattern. Is the food thing necessary or can he just have 3 meals when it suits him? He's now down to 12.2 from routinely about 24 in hospital. Will he have been given an insulin dose based on his hospital sugar readings? Thanks [/QUOTE]
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